Premature Ejaculation (PE)

What is Premature Ejaculation (PE)?

Premature Ejaculation is a condition where ejaculation occurs nearly or always prior to or within a minute of Vaginal penetration, Or, it could also apply to every single penetration. Could be associated with distress, frustration and sexual avoidance.

What is Intravaginal Ejaculatory Latency Time (IELT)?

This is the time between entering the vagina and ejaculation. In men with PE, about 80% ejaculated within 5 minutes.

Types of Premature Ejaculation and what causes it?

Premature Ejaculation can be broadly classified into two types:

  1. Life long PE. Life long PE starts from the first sexual encounter and continues throughout life. It is usually due to genetic reasons.
  2. Acquired PE is due to Hypersensitivity and may also be due to hormonal changes like Hyperthyroidism and reduced levels of Prolactin. Sometimes men with Erectile Dysfunction can cause ejaculation to terminate prematurely so that it does not end with them losing their erection. Prostate infections and penile frenulum anomalies can cause PE.

Treatment of Premature Ejaculation

Premature Ejaculation is always treated best by a combination of treatment modalities. This includes

  • Psychotherapy
  • Counseling
  • Medications and Exercises

Drugs usually are from the SSRI group and can be taken daily or on demand dosing. Exercises usually include stop /start and squeeze techniques. The best results come by combination of all these modalities. In rare cases a frenulectomy or Neuromodualtion or Dorsal neurotomy surgery is advised.

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